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Patellar Health Feed

Asked for male, 25 years old from Kangra
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I am 25 years old. I have strong pain in left knee joint. I consulted a doctor .he told me for MRI. But not only told me for physiotherapy .but I am doing from last 1 month but there is no effect. Please suggest me something after watching my MRI report- MRI LEFT KNEE JOINT STUDY PROTOCOL : SAGITTAL : PD, GRE // CORONAL : STIR, T1W // AXIAL :T2 TSE FINDINGS : There is mild effusion in knee joint extending into suprapatellar and prepatellar recess. Femorotibial articular surfaces and joint space are normal. Visualised bones are normal in cortical outline and marrow signal intensity. Grade II signal change on PD images reaching upto capsular surface is seen in the posterior horn of medial meniscus. Lateral meniscus is normal in outline and signal intensity. Anterior and posterior cruciate ligaments are normal in course with normal parenchymal signal intensity. Quadriceps femoris tendon and patellar tendon are normal with normal signal intensity. Patella is normal in location. Patellar articular cartilage is normal in thickness, outline and signal intensity. Medial and lateral collateral ligaments are normal with no evidence of tear. Peri-articular and para-articular muscles reveal normal parenchymal signal intensity and well-preserved intermuscular fat planes. IMPRESSION: FINDINGS ARE SUGGESTIVE OF *GRADE II SIGNAL CHANGE IN POSTERIOR HORN OF MEDIAL MENISCUS. *MILD KNEE JOINT EFFUSION. PLEASE CORRELATE CLINICALLY.

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BPTh/BPT

Physiotherapist•Ghaziabad
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Hello according to your report your posterior meniscus is tear. You have to need knee braces to maintain knee in extension.
Knee braces sote time v laga k hi sona.
While walking donot give full weight.
In physiotherapy session you take ultrasonic therapy for 12 mints on posteriorly of knee.
Ift therapy for 15 mints posteriorly knee.
In home you take ice or cold pack for 20 mints on back of knee.
Take rest for 4 weeks.
Because ligaments tear take 6-8 of healing time so...more
Asked for male, 66 years old from Calicut
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I had a scooter accident on 25th march 2018 and I was not able to stand properly on my left leg. It was only after a crape bandage was put around my left knee could I stand or walk. I had to take rest for two days and there was no inflammation or swelling and the pain also got subjugated. A few days after this there was pain in the inner side of my left knee bend and it spread to my feet a point just at the joint of little finger and ring finger at the inner side of my left feet. Consulted a doctor and a mri was taken and the impressions are: * degenerative tear in body of lateral meniscus *oblique tear in posterior horn of medial meniscus *joint effusion with effusion in sprapatellar bursa *bone contusion in medial patellar facet and lateral femoral condyle - possibly reduced patellar dislocation. No high grade tears in patellofemoral ligament *tricompartmental osteoarthritis. I have been under treatment since april and tried allopathic and ayurvedic treatments with no reduction of the pain and also I get numbness in my left leg from feet onwards and left lumbar down words within a minute or so of my standing on my legs, which continues for two/three minutes and start disappearing, but the numbness of the feet still persists till I sit down. Once I sit, the numbness goes. Can any of your doctors help me to get the right kind of treatment. Will homoeopathy would be of any help? I have taken paracetamol injection, neuron injections, pain killers and vitamin tabs. Now I am on vibralon plus - 1/day (methyl cobalamin, alpha lipoic acid, benffaliamine, inositol, folic acid, chromium and selenium tablets) & gabazen (gabapentin tab) -1 tab at night. Kindly help me with your expert advice pl. (vijayan)

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MPT, BPT

Physiotherapist•Noida
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Chiropractic adjustment will help.
Avoid Squatting-
Avoid sitting Cross legged.
102 people found this helpful
Asked for male, 32 years old from Jaipur
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I am 28 years old male. My left knee MRI report says There is large expensive eccentric mass lesion is seen involving left femoral condyle with thinning of cortex with multiple break in continuity. The lesion shows heterogeneous high signal with low to intermediate signal intensity. On T1images the lesion shows low to intermediate signal intensity with lower signal on peripherally. There is perilesional bone marrow edema at proximal to lesion. There is no fluid-fluid level is seen. There is patchy altered signal intensity seen in posterior particular soft tissue. There is no articular extension is noted. There is significant joint effusion is noted with fluid fluid level with heterogeneous signal-S/o hemarthrosis. The study shows normal appearance & signal intensity of both collateral ligaments, PCL,medical & lateral meniscus. Patellar & quadriceps tendon appears as normal signal void structure. Patella with its lateral, medical retinaculae & tendon appear to be remarkable. Upper end of tibia & fibula shows normal appearance & signal intensity.

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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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This is a general strain due to excessive walking or standing and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes. One time you can do hot water fermentation that would help to reduce the muscle strain
arthritic Pain:Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and als...more
86 people found this helpful
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I have had pcl reconstruction surgery on 30th jan, followed by knee debridement and lavage on 26th feb due to consistent pain, swelling and mild grade fever. However lab results for pus culture, synovial fluid culture and mtb were negative, ruling out any local infection. Crp and esr are high at 39 and 36 respectively, rest parameters of blood test are normal. After 26 feb, pain was reduced but still it is there. Swelling is there as well. Fever comes and go (99 to 99.5) like 3-4 times in a week. Mri was redone. Result is- marrow edema in distal femur and proximal tibia, moderate joint effusion with synovial thickening and bulky patellar tendonitis. Rest reported normal. Want to know why I still have pain, swelling on knee cap and mild fever thats keeps on coming like 3-4 times a week. What should I do next. I have stopped taking any antibiotics. Not taking physiotherapy sessions also due to pain and swelling. When will pain and swelling around knee cap and fever will go away? Whats wrong with me?

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MS - Orthopaedics

Orthopedic Doctor•Indore
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Dear ,
greetings
description tells me that you might have sub-clinical infection. As you are off antibiotics now, we need to see how your feels after 2-3 wks. Repeat your crp and esr levels. 20 days post surgery there should not be any other cause of fever even though its mild. Swelling will take long time to around 6 months or so. Your doctor may advice culture from knee fluid once your are off antibiotics for about 2 wks. Was the second mri with contrast?
You have more pain in bone...more
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I'm uma, 25 age. I diagnosed with pcl buckling. Please do suggest me what should I do to avoid surgery. Technique sequences pdfs, sag, coronal t2 axials findings ⚫ medial meniscus - there is thinning of medial meniscus with grade ii tear its posterior horn. • lateral meniscus grade ii tear of posterior horn of lateral meniscus. • anterior cruciate ligament - there is complete tear of acl with clumping fibres in intercondylar fossa. • posterior cruciate ligament - buckling of pcl. ⚫ medial collateral ligament - grade ii sprain of mcl. • posture-lateral corner grade I sprain of arcuate ligament. Popliteal muscle - normal -popliteo-fibular ligament - normal -popliteo-fibular ligament complex - normal short & long head of tendons of biceps femoris- normal - menisci-popliteal fascicles - normal, - lateral collateral ligament - grade ii sprain of lcl. • quadriceps tendon and patellar ligament - normal. • patella and patellar cartilage - normal. There is medial tibial-femoral joint space reduction with thinning of cartila muscles around knee - normal. Loose bodies-absent ⚫ contusions noted in posterior cortex of tibia. Mild joint effusion & suprapatellar effusion. Impression: • chronic complete tear of anterior cruciate ligament with clumping of fibres in intercondylar fossa. • grade ii tear of posterior horn of lateral meniscus. Thinning of medial meniscus with grade ii tear of its posterior horn. • grade ii sprain of medial collateral ligament. posture-lateral corner injuries as described. Mild joint effusion & suprapatellar effusion. Suggested clinical correlation and further evaluation.

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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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The typical symptoms of a posterior cruciate ligament injury are:
•pain with swelling that occurs steadily and quickly after the injury.
•swelling that makes the knee stiff and may cause a limp.
•difficulty walking.
•the knee feels unstable, like it may "give out"
the posterior cruciate ligament (pcl) is the strongest ligament in the knee. It extends from the top-rear surface of the tibia (bone between the knee and ankle) to the bottom-front surface of the femur (bone that ex...more
50 people found this helpful
Asked for male, 23 years old from Delhi
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Mrileft knee. Joint study protocol: sagittal: pd, gre// coronal: stir, tiw// axial :t2 tse findings there is mild effusion in knee joint extending into retro-patellar and lateral paracondylar recesses. Altered linear intrasubstance signal intensity is seen in posterior horn of medial meniscus appearing hyperintense on t2wand pd fs images with no intra-articular communication suggestive of grade-2 medical injury. Rests of medial and lateral meniscus appear normal. No evidence of tear. Anterior and posterior cruciate ligaments are normal in course and reveal normal parenchymal signal intensity. Quadriceps femoris tendon and patellar ligament are normal with normal signal intensity. Visualized bones reveal normal intra-medullary signal intensity and normal cortical margins. A small bony island is seen in posterior aspect of medial femoral condyle and distal femoral metaphysis. Patella is normal in location. Medial and lateral collateral ligaments are normal with no evidence of tear. Peri-articular and para-articular muscles reveal normal parenchymal signal intensity and well-preserved intermuscular fat planes. Impression: Mr. left knee finding reveals mild joint effusion with grade-2 medical injury involving posterior horn of medial meniscus as described above. Advice - please correlate clinically and with other relevant investigations please tell me 1- medicine to heal injury 2- nutrition to follow 3- physical activity during injury (i’m a gym person so workout on daily basis) 4- healing time.

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MSPT (Master of Physical Therapy), Bache...read more

Physiotherapist•Gorakhpur
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Send your mri photo.
What problm you r facing.
Can take tab tendomac 1bd for 6 months.
Counslt to physiotherpist.
Do exercises advised by physio.
Apply ice pack n use knee brace.
44 people found this helpful
Asked for male, 23 years old from Hyderabad
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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The knee-jerk reflex, also known as the patellar reflex, is a simple reflex that causes the contraction of the quadriceps muscle when the patellar tendon is stretched. Let's have a detailed discussion for better advice and medication plan.
30 people found this helpful
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